The Immune Landscape of Canine Soft Tissue Sarcomas as a Model for Human Soft Tissue Sarcomas
Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Immunohistochemistry
2.3. NanoString Tissue Preparation
2.4. Data Analysis
3. Results
3.1. Patient Demographic
3.2. Outcomes
3.3. Immune Microenvironment
3.4. NanoString Data
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Steele, C.D.; Tarabichi, M.; Oukrif, D.; Webster, A.P.; Ye, H.; Fittall, M.; Lombard, P.; Martincorena, I.; Tarpey, P.S.; Collord, G.; et al. Undifferentiated Sarcomas Develop through Distinct Evolutionary Pathways. Cancer Cell 2019, 35, 441–456.e8. [Google Scholar] [CrossRef]
- Cahill, J.A.; Smith, L.A.; Gottipati, S.; Torabi, T.S.; Graim, K. Bringing the Genomic Revolution to Comparative Oncology: Human and Dog Cancers. Annu. Rev. Biomed. Data Sci. 2024, 7, 107–129. [Google Scholar] [CrossRef] [PubMed] [PubMed Central]
- Weng, W.; Lin, Y.; Zhang, L.; Tan, C.; Lv, J.; Lao, I.W.; Hu, W.; Deng, Z.; Liu, Z.; Wang, J.; et al. The immune subtypes and landscape of sarcomas. BMC Immunol. 2022, 23, 46. [Google Scholar] [CrossRef]
- Gustafson, P.; Åkerman, M.; Alvegård, T.; Coindre, J.-M.; Fletcher, C.; Rydholm, A.; Willén, H. Prognostic information in soft tissue sarcoma using tumour size, vascular invasion and microscopic tumour necrosis—The SIN-system. Eur. J. Cancer 2003, 39, 1568–1576. [Google Scholar] [CrossRef] [PubMed]
- Dangoor, A.; Seddon, B.; Gerrand, C.; Grimer, R.; Whelan, J.; Judson, I. UK guidelines for the management of soft tissue sarcomas. Clin. Sarcoma Res. 2016, 6, 20. [Google Scholar] [CrossRef] [PubMed]
- Hui, J.Y. Epidemiology and Etiology of Sarcomas. Surg. Clin. N. Am. 2016, 96, 901–914. [Google Scholar] [CrossRef] [PubMed]
- Nardi, W.S.; Aragone, L.; Quildrian, S.D. Primary treated versus referred trunk and extremities soft tissue sarcomas: Comparative analysis of initial treatment impact on disease control. Ecancermedicalscience 2025, 19, 1933. [Google Scholar] [CrossRef] [PubMed] [PubMed Central]
- Fletcher, C.D.M.; World Health Organization; International Agency for Research on Cancer. WHO Classification of Tumours of Soft Tissue And Bone, 4th ed.; World Health Organization Classification of Tumours; IARC Press: Lyon, France, 2013; 468p. [Google Scholar]
- Coindre, J.M.; Terrier, P.; Guillou, L.; Le Doussal, V.; Collin, F.; Ranchère, D.; Sastre, X.; Vilain, M.O.; Bonichon, F.; N’Guyen Bui, B. Predictive value of grade for metastasis development in the main histologic types of adult soft tissue sarcomas: A study of 1240 patients from the French Federation of Cancer Centers Sarcoma Group. Cancer 2001, 91, 1914–1926. [Google Scholar] [CrossRef]
- Butterfield, L.H.; Najjar, Y.G. Immunotherapy combination approaches: Mechanisms, biomarkers and clinical observations. Nat. Rev. Immunol. 2023, 24, 399–416. [Google Scholar] [CrossRef]
- Maki, R.G.; Jungbluth, A.A.; Gnjatic, S.; Schwartz, G.K.; D’aDamo, D.R.; Keohan, M.L.; Wagner, M.J.; Scheu, K.; Chiu, R.; Ritter, E.; et al. A Pilot Study of Anti-CTLA4 Antibody Ipilimumab in Patients with Synovial Sarcoma. Sarcoma 2013, 2013, 168145. [Google Scholar] [CrossRef]
- Clemente, O.; Ottaiano, A.; Di Lorenzo, G.; Bracigliano, A.; Lamia, S.; Cannella, L.; Pizzolorusso, A.; Di Marzo, M.; Santorsola, M.; De Chiara, A.; et al. Is immunotherapy in the future of therapeutic management of sarcomas? J. Transl. Med. 2021, 19, 173. [Google Scholar] [CrossRef] [PubMed] [PubMed Central]
- Fazel, M.; Dufresne, A.; Vanacker, H.; Waissi, W.; Blay, J.-Y.; Brahmi, M. Immunotherapy for Soft Tissue Sarcomas: Anti-PD1/PDL1 and Beyond. Cancers 2023, 15, 1643. [Google Scholar] [CrossRef]
- Chen, A.P.; Sharon, E.; O’sUllivan-Coyne, G.; Moore, N.; Foster, J.C.; Hu, J.S.; Van Tine, B.A.; Conley, A.P.; Read, W.L.; Riedel, R.F.; et al. Atezolizumab for Advanced Alveolar Soft Part Sarcoma. N. Engl. J. Med. 2023, 389, 911–921. [Google Scholar] [CrossRef]
- D’Angelo, S.P.; Araujo, D.M.; Razak, A.R.A.; Agulnik, M.; Attia, S.; Blay, J.-Y.; Garcia, I.C.; A Charlson, J.; Choy, E.; Demetri, G.D.; et al. Afamitresgene autoleucel for advanced synovial sarcoma and myxoid round cell liposarcoma (SPEARHEAD-1): An international, open-label, phase 2 trial. Lancet 2024, 403, 1460–1471. [Google Scholar] [CrossRef]
- Pollack, S.M.; Redman, M.W.; Baker, K.K.; Wagner, M.J.; Schroeder, B.A.; Loggers, E.T.; Trieselmann, K.; Copeland, V.C.; Zhang, S.; Black, G.; et al. Assessment of Doxorubicin and Pembrolizumab in Patients With Advanced Anthracycline-Naive Sarcoma. JAMA Oncol. 2020, 6, 1778–1782. [Google Scholar] [CrossRef] [PubMed]
- Dennis, M.M.; McSporran, K.D.; Bacon, N.J.; Schulman, F.Y.; Foster, R.A.; Powers, B.E. Prognostic Factors for Cutaneous and Subcutaneous Soft Tissue Sarcomas in Dogs. Vet. Pathol. 2010, 48, 73–84. [Google Scholar] [CrossRef] [PubMed]
- McSporran, K.D. Histologic Grade Predicts Recurrence for Marginally Excised Canine Subcutaneous Soft Tissue Sarcomas. Vet. Pathol. 2009, 46, 928–933. [Google Scholar] [CrossRef]
- Chow, L.; Wheat, W.; Ramirez, D.; Impastato, R.; Dow, S. Direct comparison of canine and human immune responses using transcriptomic and functional analyses. Sci. Rep. 2024, 14, 2207. [Google Scholar] [CrossRef]
- Dell’anno, F.; Giugliano, R.; Listorti, V.; Razzuoli, E. A Review on Canine and Human Soft Tissue Sarcomas: New Insights on Prognosis Factors and Treatment Measures. Vet. Sci. 2024, 11, 362. [Google Scholar] [CrossRef]
- Fridman, W.H.; Pagès, F.; Sautès-Fridman, C.; Galon, J. The immune contexture in human tumours: Impact on clinical outcome. Nat. Rev. Cancer 2012, 12, 298–306. [Google Scholar] [CrossRef]
- Raj, S.; Miller, L.D.; Triozzi, P.L. Addressing the Adult Soft Tissue Sarcoma Microenvironment with Intratumoral Immunotherapy. Sarcoma 2018, 2018, 9305294. [Google Scholar] [CrossRef]
- Qiang, S.; Fu, F.; Wang, J.; Dong, C. Definition of immune molecular subtypes with distinct immune microenvironment, recurrence, and PANoptosis features to aid clinical therapeutic decision-making. Front. Genet. 2022, 13, 1007108. [Google Scholar] [CrossRef] [PubMed] [PubMed Central]
- Jumaniyazova, E.; Lokhonina, A.; Dzhalilova, D.; Kosyreva, A.; Fatkhudinov, T. Immune Cells in the Tumor Microenvironment of Soft Tissue Sarcomas. Cancers 2023, 15, 5760. [Google Scholar] [CrossRef] [PubMed]
- Sousa, L.M.; Almeida, J.S.; Fortes-Andrade, T.; Santos-Rosa, M.; Freitas-Tavares, P.; Casanova, J.M.; Rodrigues-Santos, P. Tumor and Peripheral Immune Status in Soft Tissue Sarcoma: Implications for Immunotherapy. Cancers 2021, 13, 3885. [Google Scholar] [CrossRef]
- A Smolle, M.; Herbsthofer, L.; Goda, M.; Granegger, B.; Brcic, I.; Bergovec, M.; Scheipl, S.; Prietl, B.; El-Heliebi, A.; Pichler, M.; et al. Influence of tumor-infiltrating immune cells on local control rate, distant metastasis, and survival in patients with soft tissue sarcoma. OncoImmunology 2021, 10, 1896658. [Google Scholar] [CrossRef] [PubMed]
- Chen, L.; Oke, T.; Siegel, N.; Cojocaru, G.; Tam, A.J.; Blosser, R.L.; Swailes, J.; Ligon, J.A.; Lebid, A.; Morris, C.; et al. The Immunosuppressive Niche of Soft-Tissue Sarcomas is Sustained by Tumor-Associated Macrophages and Characterized by Intratumoral Tertiary Lymphoid Structures. Clin. Cancer Res. 2020, 26, 4018–4030. [Google Scholar] [CrossRef] [PubMed]
- Pollack, S.M.; He, Q.; Yearley, J.H.; Emerson, R.; Vignali, M.; Zhang, Y.; Redman, M.W.; Baker, K.K.; Cooper, S.; Donahue, B.; et al. T-cell infiltration and clonality correlate with programmed cell death protein 1 and programmed death-ligand 1 expression in patients with soft tissue sarcomas. Cancer 2017, 123, 3291–3304. [Google Scholar] [CrossRef]
- Fujiwara, T.; Healey, J.; Ogura, K.; Yoshida, A.; Kondo, H.; Hata, T.; Kure, M.; Tazawa, H.; Nakata, E.; Kunisada, T.; et al. Role of Tumor-Associated Macrophages in Sarcomas. Cancers 2021, 13, 1086. [Google Scholar] [CrossRef]
- Dobson, J.M.; Samuel, S.; Milstein, H.; Rogers, K.; Wood, J.L.N. Canine neoplasia in the UK: Estimates of incidence rates from a population of insured dogs. J. Small Anim. Pract. 2002, 43, 240–246. [Google Scholar] [CrossRef]
- Buja, A.; Rugge, M.; Tropea, S.; Cozzolino, C.; Formaro, C.M.; Grotto, G.; Zorzi, M.; Vecchiato, A.; Del Fiore, P.; Brunello, A.; et al. Sex Differences in Soft Tissue Sarcoma: Incidence, Clinicopathological Profile, Survival, and Costs. J. Women’s Health 2023, 32, 1257–1264. [Google Scholar] [CrossRef]
- Gage, M.M.; Nagarajan, N.; Ruck, J.M.; Canner, J.K.; Khan, S.; Giuliano, K.; Gani, F.; Wolfgang, C.; Johnston, F.M.; Ahuja, N. Sarcomas in the United States: Recent trends and a call for improved staging. Oncotarget 2019, 10, 2462–2474. [Google Scholar] [CrossRef]
- Keung, E.Z.; Burgess, M.; Salazar, R.; Parra, E.R.; Rodrigues-Canales, J.; Bolejack, V.; Van Tine, B.A.; Schuetze, S.M.; Attia, S.; Riedel, R.F.; et al. Correlative Analyses of the SARC028 Trial Reveal an Association Between Sarcoma-Associated Immune Infiltrate and Response to Pembrolizumab. Clin. Cancer Res. 2020, 26, 1258–1266. [Google Scholar] [CrossRef] [PubMed]
- Dhanasekaran, R.; Deutzmann, A.; Mahauad-Fernandez, W.D.; Hansen, A.S.; Gouw, A.M.; Felsher, D.W. The MYC oncogene—The grand orchestrator of cancer growth and immune evasion. Nat. Rev. Clin. Oncol. 2021, 19, 23–36. [Google Scholar] [CrossRef] [PubMed]
- Avallone, G.; Rasotto, R.; Chambers, J.K.; Miller, A.D.; Behling-Kelly, E.; Monti, P.; Berlato, D.; Valenti, P.; Roccabianca, P. Review of Histological Grading Systems in Veterinary Medicine. Vet. Pathol. 2021, 58, 809–828. [Google Scholar] [CrossRef]
- Griffin, M.A.; Hughes, K.; Altwal, J.; Seguin, B.; Wustefeld-Janssens, B. Grade shifts in recurrent canine soft tissue sarcomas and mast cell tumors. J. Am. Vet. Med. Assoc. 2023, 261, 1–8. [Google Scholar] [CrossRef]
- Ciekot, P.A.; Powers, B.E.; Withrow, S.J.; Straw, R.C.; Ogilvie, G.K.; LaRue, S.Μ. Histologically low-grade, yet biologically high-grade, fibrosarcomas of the mandible and maxilla in dogs: 25 cases (1982–1991). J. Am. Vet. Med. Assoc. 1994, 204, 610–615. [Google Scholar] [CrossRef]
- Tsiatis, A.C.; E Herceg, M.; Keedy, V.L.; Halpern, J.L.; E Holt, G.; Schwartz, H.S.; Cates, J.M.M. Prognostic significance of c-Myc expression in soft tissue leiomyosarcoma. Lab. Investig. 2009, 22, 1432–1438. [Google Scholar] [CrossRef]
- Wani, A.K.; Singh, R.; Akhtar, N.; Prakash, A.; Nepovimova, E.; Oleksak, P.; Chrienova, Z.; Alomar, S.; Chopra, C.; Kuca, K. Targeted Inhibition of the PI3K/Akt/mTOR Signaling Axis: Potential for Sarcoma Therapy. Mini-Rev. Med. Chem. 2024, 24, 1496–1520. [Google Scholar] [CrossRef]
- LeBlanc, A.K.; Mazcko, C.N.; Cherukuri, A.; Berger, E.P.; Kisseberth, W.C.; Brown, M.E.; Lana, S.E.; Weishaar, K.; Flesner, B.K.; Bryan, J.N.; et al. Adjuvant Sirolimus Does Not Improve Outcome in Pet Dogs Receiving Standard-of-Care Therapy for Appendicular Osteosarcoma: A Prospective, Randomized Trial of 324 Dogs. Clin. Cancer Res. 2021, 27, 3005–3016. [Google Scholar] [CrossRef]
- Shouda, T.; Hiraoka, K.; Komiya, S.; Hamada, T.; Zenmyo, M.; Iwasaki, H.; Isayama, T.; Fukushima, N.; Nagata, K.; Yoshimura, A. Suppression of IL-6 production and proliferation by blocking STAT3 activation in malignant soft tissue tumor cells. Cancer Lett. 2006, 231, 176–184. [Google Scholar] [CrossRef] [PubMed]
- Dolatabadi, S.; Jonasson, E.; Lindén, M.; Fereydouni, B.; Bäcksten, K.; Nilsson, M.; Martner, A.; Forootan, A.; Fagman, H.; Landberg, G.; et al. JAK–STAT signalling controls cancer stem cell properties including chemotherapy resistance in myxoid liposarcoma. Int. J. Cancer 2019, 145, 435–449. [Google Scholar] [CrossRef] [PubMed]
- Nururrozi, A.; Igase, M.; Miyanishi, K.; Sakurai, M.; Sakai, Y.; Tanabe, M.; Mizuno, T. 2024. Potential Contribution of Epithelial Growth Factor Receptor to PI3K/AKT Pathway Dysregulation in Canine Soft Tissue Sarcoma. Vivo 2024, 39, 110–119. [Google Scholar] [CrossRef]
- Dai, T.; Jiang, W.; Wang, M.; Guo, Z.; Dai, R. Influence of two-period cross-over design on the bioequivalence study of gefitinib tablets in beagle dogs. Eur. J. Pharm. Sci. 2021, 165, 105933. [Google Scholar] [CrossRef]
- Zhang, S.; Zhang, X.; Zhao, Z.; Xu, L.; Xu, S.; Liu, T.; Yu, S. Undifferentiated pleomorphic sarcoma of the extremity and trunk: A retrospective cohort study of 166 cases in a large institution. Transl. Cancer Res. 2022, 11, 678–688. [Google Scholar] [CrossRef] [PubMed]
- Umakoshi, M.; Nakamura, A.; Tsuchie, H.; Li, Z.; Kudo-Asabe, Y.; Miyabe, K.; Ito, Y.; Yoshida, M.; Nagasawa, H.; Okada, K.; et al. Macrophage numbers in the marginal area of sarcomas predict clinical prognosis. Sci. Rep. 2023, 13, 1290. [Google Scholar] [CrossRef] [PubMed]
- Keung, E.Z.; Tsai, J.-W.; Ali, A.M.; Cormier, J.N.; Bishop, A.J.; Guadagnolo, B.A.; Torres, K.E.; Somaiah, N.; Hunt, K.K.; Wargo, J.A.; et al. Analysis of the immune infiltrate in undifferentiated pleomorphic sarcoma of the extremity and trunk in response to radiotherapy: Rationale for combination neoadjuvant immune checkpoint inhibition and radiotherapy. OncoImmunology 2017, 7, e1385689. [Google Scholar] [CrossRef]




| Variable | Number (%) |
|---|---|
| Total number of patients | 75 |
| Median age (years) | 12, range (2–13 years) |
| Sex | |
| Intact male | 3 (4) |
| Intact female | 1 (1.33) |
| Castrated male | 32 (42.66) |
| Spayed female | 39 (52) |
| Breed | |
| Labrador retriever | 12 (16) |
| Mixed breed dog | 11 (14.67) |
| Golden retriever | 8 (10.6) |
| Pitbull terrier | 5 (6.66) |
| Miniature schnauzer | 3 (4) |
| German shepherd | 3 (4) |
| Boxer | 3 (4) |
| Border collie | 2 (2.67) |
| Chihuahua | 2 (2.67) |
| Cocker spaniel | 2 (2.67) |
| Australian shepherd | 1 (1.33) |
| Daschund | 1 (1.33) |
| Rhodesian ridgeback | 1 (1.33) |
| Shiba inu | 1 (1.33) |
| Yorkshire terrier | 1 (1.33) |
| Italian greyhound | 1 (1.33) |
| Great dane | 1 (1.33) |
| Blue tick coonhound | 1 (1.33) |
| Beagle | 1 (1.33) |
| American eskimo | 1 (1.33) |
| Jack Russell terrier | 1 (1.33) |
| Whippet | 1 (1.33) |
| Rottweiler | 1 (1.33) |
| Pembroke Welsh Corgi | 1 (1.33) |
| Black mouthed cur | 1 (1.33) |
| Vizsla | 1 (1.33) |
| Boston terrier | 1 (1.33) |
| English bulldog | 1 (1.33) |
| Dalmatian | 1 (1.33) |
| Cane Corso | 1 (1.33) |
| Husky | 1 (1.33) |
| Beauceron | 1 (1.33) |
| Bernese mountain dog | 1 (1.33) |
| Schnauzer | 1 (1.33) |
| Tumor Site | Number (%) |
|---|---|
| Appendicular | 47 (62.67) |
| Non-appendicular | 28 (37.33) |
| Tumor grade | |
| Grade 1 | 29(38.6750) |
| Grade 2 | 26 (34.67) |
| Grade 3 | 20 (26.6789) |
| Metastatic disease | |
| Nodal Metastases | 3 (4) |
| Lung metastases | 5 (6.66) |
| Surgical margins following first surgery | |
| Incomplete | 23 (30.66) |
| Complete | 52 (69.33) |
| Adjunctive therapy | |
| Pre-operative radiation | 13 (17.33) |
| Post operative radiation therapy | 5 (6.66) |
| Doxorubicin | 3 (4) |
| Doxorubicin and ifosphamide | 1 (1.33) |
| Carboplatin | 5 (6.66) |
| Intralesional 5-FU | 1 (1.33) |
| Chlorambucil | 3 (4) |
| Ifosphamide | 1 (1.33) |
| Palladia | 2 (2.66) |
| Tumor Histotype | |
| Fibrosarcoma | 18 |
| Peripheral nerve sheath tumor | 14 |
| Perivascular wall tumor | 10 |
| Myxosarcoma | 1 |
| Liposarcoma | 1 |
| Undifferentiated pleomorphic sarcoma | 2 |
| Anaplastic Sarcoma | 4 |
| Concurrent Neoplasia | |
| Adrenal Tumors | 3 (12.5%) |
| Mast Cell Tumor (Low Grade) | 8 (33.33%) |
| Urothelial Carcinoma | 1 (4.16) |
| Perianal Adenoma | 1 (4.16) |
| Hepatocellular Carcinoma | 2 (8.33%) |
| Splenic Nodules | 2 (8.33%) |
| Cutaneous Hemangiosarcoma | 1 (4.16) |
| Intramuscular Hemangiosarcoma | 1 (4.16) |
| Trichoepithelioma | 1 (4.16) |
| Brain Tumor | 2 (8.33%) |
| Other Sarcoma | 2 (8.33%) |
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Hayburn, R.; Chung, D.; Gupta, A.; Sills, S.; Wu, J.D.; Ambrus, A.; Jing, W.; Ng, J.; Penaloza-MacMaster, P.; Selmek, A.; et al. The Immune Landscape of Canine Soft Tissue Sarcomas as a Model for Human Soft Tissue Sarcomas. Cancers 2025, 17, 3860. https://doi.org/10.3390/cancers17233860
Hayburn R, Chung D, Gupta A, Sills S, Wu JD, Ambrus A, Jing W, Ng J, Penaloza-MacMaster P, Selmek A, et al. The Immune Landscape of Canine Soft Tissue Sarcomas as a Model for Human Soft Tissue Sarcomas. Cancers. 2025; 17(23):3860. https://doi.org/10.3390/cancers17233860
Chicago/Turabian StyleHayburn, Regina, Dongjun Chung, Arkobato Gupta, Shane Sills, Jennifer Donglan Wu, Andy Ambrus, Weiqing Jing, Juliana Ng, Pablo Penaloza-MacMaster, Aubrie Selmek, and et al. 2025. "The Immune Landscape of Canine Soft Tissue Sarcomas as a Model for Human Soft Tissue Sarcomas" Cancers 17, no. 23: 3860. https://doi.org/10.3390/cancers17233860
APA StyleHayburn, R., Chung, D., Gupta, A., Sills, S., Wu, J. D., Ambrus, A., Jing, W., Ng, J., Penaloza-MacMaster, P., Selmek, A., Pollack, S. M., & Bracha, S. (2025). The Immune Landscape of Canine Soft Tissue Sarcomas as a Model for Human Soft Tissue Sarcomas. Cancers, 17(23), 3860. https://doi.org/10.3390/cancers17233860

